D was referred to me as my first adolescent analysis case by Dr. K, who had seen D in psychotherapy over a period of many years, but not on a consistent basis. Dr. K had informed me that she had seen the boy between the ages of 7 and approximately 13 or 14 for a number of difficulties which had to do with his oppositional behavior, both at school and at home, some involvement with fighting at school, and overall refusal to do schoolwork. He was perceived as someone who was consistently achieving below his potential. Dr. K had not seen D for the past two years but apparently the same problems continued throughout this time. The parents sought a consultation with Dr. K, I believe at the end of August of 1988, as a result of which Dr. K recommended psychoanalysis, referring D to me.

The parents contacted me approximately three weeks after the case was originally referred to me. It took a considerable amount of time